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Organization
YALE MAIN STREET DENTISTRY, PLLC
Active
Organization
YALE MAIN STREET DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY PARROTT DDS (MEMBER)
(248) 875-7269
Entity
Organization
Contact information
Practice address
210 S MAIN ST, YALE, MI 48097-3319
(810) 387-4746
Mailing address
6962 LAKEPORT DR, LAKEPORT, MI 48059-2209
(810) 545-8215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
10/29/2018
Last updated
04/11/2024
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